2026 NPPES data Obstetrics & Gynecology Physician NPI 1578645156 M.D.
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JAMES SMITH, M.D.

Obstetrics & Gynecology Physician in CARMEL, Indiana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
37
Medicare Part D claims · 15 beneficiaries · Obstetrics & Gynecology Physician avg: 179
MIPS score
80.1797/100
▼ 3 pts below national avg 83.1 · [object Object]

What the federal data shows

JAMES SMITH, M.D. reported a CMS MIPS final score of 80.1797/100 — below the 83.1 national average — and filed 37 Medicare Part D claims in 2023.

80.1797/100
MIPS score · -3 vs avg
37
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JAMES SMITH, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

80 33rd percentile higher than 33% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

JAMES SMITH, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JAMES SMITH, M.D.?

Near national average

NPI registry status

Active

Issued 10/20/2006

NPI 1578645156

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

37 79% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

80.1797/100 2.9202999999999975% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Indiana

How Obstetrics & Gynecology Physician compares to other specialties among Indiana providers

Indiana providers

Obstetrics & Gynecology Physician share within Indiana

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within Indiana

Medicare quality performance — MIPS

JAMES SMITH, M.D.'s 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

Near national average
MIPS Final Score
80.1797/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 80.1797/100 vs national avg 83.1

0%100%National avg83%80.2%
MIPS final score (Obstetrics & Gynecology Physician) — 80.1797/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAMES SMITH, M.D. appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding M.D. credentials at 11725 N ILLINOIS ST, CARMEL, IN, 46032, with a listed phone of (317) 688-5200. NPI 1578645156 was issued on 10/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 37 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $5K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.1797/100 for the 2023 performance year (Quality 76.6904, Cost 53.4937), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

11725 N ILLINOIS ST
CARMEL, IN 46032

Provider Details

NPI 1578645156
Specialty Obstetrics & Gynecology Physician
Credentials M.D.
Gender Male
NPI Issued 10/20/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

80.1797
Final Score
Avg: 83.1
76.6904
Quality
53.4937
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

37
Total Claims
$5K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
69
Total Day Supply
1,816
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
62.1 years
Avg HCC Risk Score
0.72
Gender Split
100% female / 0% male

Obstetrics & Gynecology Physician Overview

How JAMES SMITH, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

JAMES SMITH, M.D.'s 37 claims are below the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as SMITH.

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES SMITH, M.D.'s specialty?
JAMES SMITH, M.D. specializes in Obstetrics & Gynecology Physician and practices in CARMEL, Indiana. Credentials: M.D..
How much does JAMES SMITH, M.D. prescribe under Medicare Part D?
In 2023, JAMES SMITH, M.D. wrote 37 Medicare Part D claims totaling $5K in drug costs for 15 beneficiaries.
What is JAMES SMITH, M.D.'s Medicare quality score?
JAMES SMITH, M.D. has a CMS MIPS Final Score of 80.1797/100 (Quality: 76.6904, Cost: 53.4937). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES SMITH, M.D. located?
JAMES SMITH, M.D. is located at 11725 N ILLINOIS ST, CARMEL, IN, 46032. Phone: (317) 688-5200.
What is JAMES SMITH, M.D.'s NPI number?
JAMES SMITH, M.D.'s National Provider Identifier (NPI) is 1578645156, issued on 10/20/2006.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
Does JAMES SMITH, M.D. accept Medicare?
JAMES SMITH, M.D. appears in CMS Medicare data with 37 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES SMITH, M.D.'s credentials?
JAMES SMITH, M.D.'s NPI is 1578645156 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology